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indwelling catheter, internal fixation, IVT, sepsis

1. Concern- INFECTION (because of exposure, indwelling catheter, internal fixation, IVT, sepsis)

Intervention- antibiotics, hand hygiene, wound assessment, access site, (monitor pt. – temperature, pain, swelling, redness).

2. Concern- COMPARTMENT SYNDROME—–ribs of broken bone—–swelling

Intervention- ELEVATION- helps to take swelling away.; neurovascular obs- sensation (assess the transition of skin), skin color, temperature (warm/ cold), capillary refill, pulse movement, pain.

3. Concern- PRESSURE INJURY- because of fractures, less blood flow

Intervention- reposition, air matress.

4. Concern-CONSTIPATION- no mobility, opioids gone through, food and fluid?

Intervention- ask him?

5. Concern- DEEP VEIN THROMBOSIS

Intervention- anticoagulation (calaxene), encourage mobility, exercise.

6. Concern- PROPHALAXIS

Intervention- DEEP BREATHING/ SHALLOW BREATHING- sitting in bed leads to pneumonia (aspiration).——this will prevent pneumonia

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